RANKING · 2024 ACS · 51 SHOWN OF 51

Highest uninsured rate, US states

US states ranked by the share of residents without health insurance (2024 ACS). Texas leads at 17.1%. 51 states qualify in total. The top 25 average 10.0%, against an all-states median of 7.2%.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

USUnited States334,922,4998.4%–

01Texas, TXTX30,188,42417.1%−1%

02Oklahoma, OKOK4,028,63412.9%−10%

03Georgia, GAGA10,940,40712.4%−5%

04Florida, FLFL22,416,07711.5%−9%

05Nevada, NVNV3,184,61211.4%+2%

06Wyoming, WYWY582,39711.3%−1%

07Alaska, AKAK735,70611.0%−13%

08Mississippi, MSMS2,946,77911.0%−8%

09Arizona, AZAZ7,378,83810.5%−1%

10Tennessee, TNTN7,066,38310.0%+3%

11North Carolina, NCNC10,730,4049.9%−7%

12New Mexico, NMNM2,120,2469.6%+1%

13South Carolina, SCSC5,296,2259.6%−8%

14Alabama, ALAL5,086,7689.2%−3%

15Idaho, IDID1,934,2629.1%−13%

16South Dakota, SDSD907,4289.0%−6%

17Arkansas, ARAR3,049,3919.0%+8%

18Kansas, KSKS2,947,1978.8%+1%

19Missouri, MOMO6,191,8148.8%−6%

20Montana, MTMT1,116,8758.6%+2%

21Utah, UTUT3,392,3318.4%−7%

22Louisiana, LALA4,611,9617.8%−10%

23Colorado, COCO5,862,1897.7%−1%

24New Jersey, NJNJ9,343,8097.5%−1%

25Indiana, ININ6,851,0737.4%−7%

26Nebraska, NENE1,978,7077.2%−11%

27Virginia, VAVA8,705,1706.9%−16%

28Illinois, ILIL12,694,7986.9%+1%

29California, CACA39,287,3776.6%−8%

30North Dakota, NDND784,8416.5%−10%

31Ohio, OHOH11,810,2936.4%+3%

32Delaware, DEDE1,021,1916.3%+9%

33Maryland, MDMD6,206,0116.3%+7%

34Washington, WAWA7,816,1166.3%+2%

35Maine, MEME1,387,8176.2%−18%

36West Virginia, WVWV1,778,3736.0%−3%

37Kentucky, KYKY4,534,8246.0%+7%

38Oregon, OROR4,254,2935.9%−11%

39Pennsylvania, PAPA13,018,6395.6%+0%

40Connecticut, CTCT3,624,5085.4%+6%

41New Hampshire, NHNH1,394,8685.3%−12%

42Wisconsin, WIWI5,914,8725.2%−5%

43New York, NYNY19,852,3665.1%−6%

44Iowa, IAIA3,210,5075.0%+6%

45Michigan, MIMI10,077,7614.9%−9%

46Minnesota, MNMN5,739,4454.7%+4%

47Rhode Island, RIRI1,101,8014.4%+2%

48Vermont, VTVT647,1063.9%−3%

49District of Columbia, DCDC681,2943.6%−3%

50Hawaii, HIHI1,445,2353.6%−8%

51Massachusetts, MAMA7,044,0562.6%−4%

SHOWING 1–51 OF 51

Download CSV (full list, 51 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which state has the highest uninsured?

Texas ranks #1 with 17.1% (2024 American Community Survey).

What are the top 5 states by uninsured?

Texas, Oklahoma, Georgia, Florida, Nevada.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is uninsured measured?

Share of residents without health insurance. Source: US Census Bureau, American Community Survey 5-year estimates (2024).